Flight application

Thank you for taking the time to complete our Flight application. We are very excited that you are considering to attend this wonderful weekend with us! Please note that all of the optional fields below are marked with an asterisk. We look forward to sharing this experience with you and your sponsor.

Applicant information

First name:Last name:

Cell phone: ###-###-####

Email address:

Home street address:City:State:Zip:Birth date: ##/##/####

Gender:MaleFemale

Grade:School you attend:

Church Information

Name of current church:Church street address:City:State:Zip code:Pastor or youth pastor's name:Pastor or youth pastor's email:Please tell us about your religious and community involvement:

Flight Information

Do you have any allergy or dietary requirements?NoYes

Do you have any health or physical limitations?NoYes

Has the Chrysalis weekend been explained to you?NoYes

Desired first and last name for name tag:

T-shirt size:

Why do you want to attend and what expectations do you have?

Parental information

First legal parent / guardian

First and last name:Primary phone number: ###-###-####

*Secondary phone number: ###-###-####

Email address:

Second legal parent / guardian

*First and last name:*Primary phone number: ###-###-####

*Secondary phone number: ###-###-####

*Email address:

Alternate contact

First and last name:Primary phone number: ###-###-####

*Secondary phone number: ###-###-####

Sponsorship information

Your sponsor's information

Sponsor's first and last name:Primary phone number: ###-###-####

*Secondary phone number: ###-###-####

Sponsor's email address:Sponsor's home address:City:State:Zip code:

Authorization

Youth signature:Today's date:

As a youth (the person filling out this online application), by placing your full legal name in the box above and by dating this application; you are authorizing that you have permission from your legal parent or guardian to attend one of the upcoming Chrysalis Flights; that you are currently at least 14 years of age; and that the person who is willing to sponsor you has agreed prior to filling out this application.

Thank you! Your Flight application has been received!
‍

We just sent you an email that details everything you need to know about attending your Chrysalis Flight. Please allow this email to serve as your participant guide between now and your Chrysalis weekend. It is very important that you take a moment right now to be sure you received that email. If for some reason you didn't receive it, please contact us immediately by sending an email to:

centralcarolinaschrysalis@gmail.com

and we will send you a copy of this information.
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We also just sent your sponsor an email to let them know that you have just submitted your Flight application. We have asked your sponsor to visit our website and fill out the online "Sponsors form" (in case they have not done so already). After we review your application, we will contact your sponsor for everything else that we'll need, so you don't have to anticipate - just participate!
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Your "Next Steps" are to be familiar with all of the information provided to you in the email that was mentioned above. If you are ready to pay the $

100

participant fee in-full OR if you are ready to pay any installments towards your Chrysalis Flight, please make out any checks to "CCCC" or "Central Carolinas Chrysalis Community" and send them to our address at:
‍

Central Carolinas Chrysalis
Attention: Registrar

PO Box 680003

Charlotte, NC 28216

We look forward to having you on our next Chrysalis weekend!
Fly with Christ!
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- The Central Carolinas Chrysalis Board

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